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At the neurobiological level, the protest stage is characterized by unusually heightened, even frantic activity of dopamine and norepinephrine receptors in the brain, which has the effect of pronounced alertness similar to what is found in young animals abandoned by their mothers. This impassioned protest stage — if it proves unsuccessful in reestablishing the romantic relationship — slowly disintegrates into the second stage of heartbreak, what Fisher refers to as ‘resignation/despair,’ in which the rejected party gives up all hope of ever getting back together. ‘Drugged by sorrow,’ writes Fisher, ‘most cry, lie in bed, stare into space, drink too much, or hole up and watch TV.’ At the level of the brain, overtaxed dopamine-making cells begin sputtering out, causing lethargy and depression. And in the saddest cases, this depression is linked to heart attacks or strokes, so people can, quite literally, die of a broken heart. [link]